Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.21 / $803.00 / $2,812.00	Facility		$198.21	$803.00	$2,812.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.21 / $238.52 / $346.67	Professional		$149.21	$238.52	$346.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $393.95 / $393.95 / $393.95	Professional		$393.95	$393.95	$393.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,627.26 / $2,627.26 / $3,152.71	Facility		$2,627.26	$2,627.26	$3,152.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $179.36 / $263.76 / $431.28	Professional		$179.36	$263.76	$431.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $827.75 / $827.75 / $827.75	Facility		$827.75	$827.75	$827.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.36 / $293.17 / $504.51	Professional		$179.36	$293.17	$504.51
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $453.04 / $453.04 / $453.04	Professional		$453.04	$453.04	$453.04
United Facility/Professional Facility Modifier Low / Median / High Price $590.00 / $1,229.00 / $2,539.00	Facility		$590.00	$1,229.00	$2,539.00
United Facility/Professional Professional Modifier Low / Median / High Price $237.41 / $332.54 / $572.62	Professional		$237.41	$332.54	$572.62